Individual
CHELSEA LAJUAN WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
237 HALLBROOK DR, FORT WORTH, TX 76134-3931
(817) 806-6090
Mailing address
237 HALLBROOK DR, FORT WORTH, TX 76134-3931
(817) 806-6090
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/20/2018
Last updated
05/20/2018
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